Courtney Noel
Individual provider Active NPI Athletic Trainer · Cottage Grove, WI
NPI 1689041972 · NPPES record last updated Aug 21, 2015
Key facts
- NPI
- 1689041972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1379 (WI)
- Practice address
- 308 W Clover LN
Cottage Grove, WI 53527-9428 - Phone
- (608) 220-9326
- NPI assigned
- Aug 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1379 | WI | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1379 | WI | Yes |
Addresses
Primary practice location
308 W Clover LN
Cottage Grove, WI 53527-9428
Mailing address
308 W Clover LN
Cottage Grove, WI 53527-9428
Other providers in Cottage Grove, WI
- Aishani Nalla
- David Paul Nelson
- Shari L Nelson
- Wendy Nicole Nelson
- Anne Niebler
- Colleen Grace Pallardy
- Pediatric Therapy Garden
- Amanda J Pennekamp
- Lisa M Pietrowiak
- Katie Lyn Poole
All providers in Cottage Grove, WI · Athletic Trainer in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.